Neurobridge PLLC
in Fort Worth, TX. Organization (NPI-2).
NPI number1710855804
StatusActive
Last updated in NPPESJan 14, 2026
Details
- NPI
- 1710855804
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurobridge PLLC
- Organization subpart
- No
- Enumeration date
- Oct 29, 2025
- Certification date
- Jan 14, 2026
- Last updated
- Jan 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0600X | – | – | Yes |
Practice location
6913 Camp Bowie Blvd Ste 179Fort Worth, TX 76116-7169
Phone 682-267-9550
Mailing address
6913 Camp Bowie Blvd Ste 179Fort Worth, TX 76116-7169
Authorized official
Adeyemi Gbohunmi
Sole Member
6822679550
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